Individual provider Active NPI

Steven Landgarten, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Tulsa, OK
National Provider Identifier
1295772580
Registry record updated Jan 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
9623 Issued in OK
Practice address
1245 S Utica Ave
Tulsa, OK 74104-4200
Phone
(918) 382-2551
Fax
(918) 382-2561
NPI assigned
Jun 2, 2006
Last updated
Jan 22, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 9623 OK
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 9623 OK Primary

Addresses

Primary practice location

1245 S Utica Ave
Tulsa, OK 74104-4200

Mailing address

1245 S Utica Ave
Tulsa, OK 74104-4214
Phone (918) 382-2551

Other identifiers 1

IdentifierTypeStateIssuer
100012240AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040916001364 OK Practitioner - Internal MedicinePractitioner - Endocrinology 1153239009 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Endocrinology
Education
State University of Ny Upstate Medical University, 1966
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ahs Oklahoma Physician Group LLCGroup PAC ID 9436122496, 314 clinicians

Practice addresses (Care Compare)

1245 S Utica Ave
Suite 300
Tulsa, OK 74104-4214
Phone (918) 382-2536

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ahs Oklahoma Physician Group LLC Internal Medicine CurrentSince Sep 1, 2004 Accepting new patients
Ahs Oklahoma Physician Group, LLC CurrentSince Sep 1, 2004 Accepting new patients
Ahs Hillcrest Medical Center, LLC Past Accepting new patients

Locations

20 E 34th St
Sand Springs, OK 74063
Phone (918) 245-9675

1145 S Utica Ave
Ste 110
Tulsa, OK 74104
Phone (918) 579-3825

1145 S Utica Ave
Ste 202
Tulsa, OK 74104
Phone (918) 560-3838

1245 S Utica Ave
Tulsa, OK 74104
Phone (918) 560-3823

1245 S Utica Ave
Ste 203
Tulsa, OK 74104
Phone (918) 579-3875

1245 S Utica Ave
Ste 300
Tulsa, OK 74104
Phone (918) 382-2536

8803 S 101st East Ave
Ste 320
Tulsa, OK 74133
Phone (918) 250-7625

Dept 1100
Tulsa, OK 74182

Dept 1206
Tulsa, OK 74182

Interoperability endpoints

  • FHIR API: https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4
  • Direct secure messaging: slandgarten34591@ahs.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1295772580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 S UTICA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044214",
            "telephone_number": "918-382-2551",
            "fax_number": "918-382-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 S UTICA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044200",
            "telephone_number": "918-382-2551",
            "fax_number": "918-382-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDGARTEN",
        "first_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "9623",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "OK",
            "license": "9623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100012240A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.